RT Journal Article
SR Electronic
T1 Cavernous sinus embolisation prior to removal of penetrating foreign body in a 6-year-old child
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e237301
DO 10.1136/bcr-2020-237301
VO 13
IS 12
A1 Kartik D Bhatia
A1 Heath French
A1 Gemma Olsson
A1 Krishna Tumuluri
YR 2020
UL http://casereports.bmj.com/content/13/12/e237301.abstract
AB Transorbital penetrating foreign bodies are extremely rare in children and may penetrate the cavernous sinus or the underlying internal carotid artery. Parent vessel sacrifice and temporary balloon occlusion are feasible options for managing arterial injury during removal of the foreign body. Even in the absence of arterial injury, the ophthalmologist may encounter significant bleeding from the cavernous sinus deep in their operative field that is difficult to control. We present a case of a 6-year-old child with a stick penetrating the left superior orbit to enter the cavernous sinus but sparing the internal carotid artery. We describe the first reported experience of prophylactic coil embolisation of the cavernous sinus to minimise intraoperative bleeding during transorbital removal of a foreign body with an excellent clinical outcome.